MACRA is here. The Medicare Access and CHIP Reauthorization ACT of 2015, or MACRA, represents an ideological shift in healthcare that garnered tremendous bipartisan support in both the House and Senate. MACRA repeals the failing Sustainable Growth Rate (SGR) and shifts Medicare reimbursements to a new value-based model.
What does that mean? Now, Medicare reimbursement is based on the quality of care a patient receives, not the number of encounters. It's an entirely new way of measuring and thinking about healthcare.
Despite MACRA’s ambitious vision, some argue that MACRA actually punishes physicians especially those in small practices. Regardless of its future success, one thing is certain: many U.S. physicians feel caught in the middle. Forced to take on a large-scale transition by implementing MACRA on their own.
We surveyed the healthcare industry about their feelings toward MACRA from April 2017 to June 2017. Here’s a closer look at who took the survey:
MACRA is expected to affect small practices the most, so we’re thrilled to have received such a strong response. We consider small practices to have 1-3 providers, so when we say small - we mean small. In our findings section, we’ll compare how small and large practices feel about MACRA.
We’ve established that the majority of survey takers work in small practices, so it follows that almost half are also business owners. When it comes to MACRA, the opinions of small practices owners matter the most.
We know that specialty is everything, so we wanted to highlight our largest specialty responses. We’ve even included a special Mental Health analysis of our survey to show our appreciation.
Most importantly, almost half of our respondents are patient care professionals. When it comes to small practices, these are the shoulders that MACRA will burden the most. We’re thrilled to share how they feel about it.
In 2017, MACRA hit the ground running. While CMS works frantically to ensure a smooth transition, it seems that healthcare professionals are closing their eyes and hoping someone slams on the brakes.
Several recent surveys have documented the industry’s sobering lack of technological preparedness and resources. However, we wanted to take a step back and get a sense of how healthcare professionals are feeling. We took the industry’s temperature to see what healthcare professionals really think about MACRA.
Most provider organizations without a MACRA plan expect to purchase software or outsource last minute in 2017. Source: Black Book Survey
MACRA is no joke. It’s a dense subject, even for those very familiar with it. We like to keep things simple, so we’ve boiled our analysis down to the bare bones.
If you’re totally new to MACRA. Here’s some resources to help you get started: